| NPI | 1750686721 |
|---|---|
| Former Name | TAYLOR LEE GREGORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6895-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 6895-M) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2021-04-22 |