NPI | 1508910662 |
---|---|
Former Name | JANE YOUNG-SUN LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007677) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005652) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2015-01-21 |