NPI | 1306240478 |
---|---|
Former Name | GRACE EUNHAE WHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC010931) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH 60666291) |
Enumeration Date | 2014-10-17 |
Last Update Date | 2020-03-15 |