NPI | 1861931396 |
---|---|
Former Name | PAMELA L LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1800797) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.1502317) |
Enumeration Date | 2017-02-16 |
Last Update Date | 2020-04-14 |