| NPI | 1629225925 |
|---|---|
| Former Name | PHONG LE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW77179) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2022-11-09 |