NPI | 1265909097 |
---|---|
Former Name | JUNG SOO LIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008155) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2018-10-30 |
Last Update Date | 2024-07-12 |