| NPI | 1780154971 |
|---|---|
| Former Name | STEFANIE LYNN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.017182) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2022-04-25 |