| NPI | 1083160790 |
|---|---|
| Former Name | KIM K YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X (Licence: MI L148347) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 1-04781) |
| 175T00000X Peer Specialist | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-04-10 |