NPI | 1093044455 |
---|---|
Professional Name | MARI EVONNE KONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.005213) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1605-123) |
106H00000X Marriage & Family Therapist (Licence: WI 612-124) | |
Enumeration Date | 2009-12-14 |
Last Update Date | 2009-12-14 |