| NPI | 1366920811 |
|---|---|
| Professional Name | VIENGKEO PHASOUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022418) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2020-08-13 |