| NPI | 1962469924 |
|---|---|
| Former Name | DIANE CONSTANCE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT002845) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: GA OT002845) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT002845) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-09 |