| NPI | 1114301934 |
|---|---|
| Other Name | PAUL KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11257) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: OR A5807) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2023-02-16 |