| NPI | 1619216926 |
|---|---|
| Former Name | DIANE ELLEN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115973) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2014-09-10 |