NPI | 1942744867 |
---|---|
Former Name | WON JOO LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05929300) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06209400) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2023-08-09 |