NPI | 1215595590 |
---|---|
Former Name | YOUNGMIN LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103091) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2019-06-03 |
Last Update Date | 2021-10-18 |