| NPI | 1639561954 |
|---|---|
| Former Name | GRACE E LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC019073) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00216300) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00493800) | |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2023-08-16 |