NPI | 1548329584 |
---|---|
Former Name | LENA SOEUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 215735) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 215735) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2024-01-30 |