| NPI | 1033473111 |
|---|---|
| Other Name | KIYOMI JUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68701) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-10 |