| NPI | 1871661918 |
|---|---|
| Former Name | NICOLETTE CRYSTAL LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82860) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA 82860) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-04-29 |