| NPI | 1912476839 |
|---|---|
| Other Name | CONNIE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102925) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YM0800X Counselor, Mental Health (Licence: 102925) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2026-01-14 |