NPI | 1407333834 |
---|---|
Former Name | SUWATTANA CHUMPOLKULWONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016443) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014789) |
Enumeration Date | 2018-07-27 |
Last Update Date | 2023-08-07 |