| NPI | 1740473420 |
|---|---|
| Former Name | DANA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS24054) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2016-01-09 |