| NPI | 1003424433 |
|---|---|
| Former Name | EDWARD SEUNG BAIK KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107197) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2024-11-07 |