NPI | 1225316649 |
---|---|
Former Name | CHOEUN VONN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99982) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-08-02 |
Last Update Date | 2021-03-12 |