NPI | 1154916203 |
---|---|
Former Name | DAEUN KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149508) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT121764) |
Enumeration Date | 2021-03-01 |
Last Update Date | 2024-10-17 |