| NPI | 1003216060 |
|---|---|
| Former Name | HYE WON BAEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1657) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98855) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2019-12-04 |