| NPI | 1407215312 |
|---|---|
| Former Name | NITHTAYA HONGKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW125032) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2024-03-21 |