| NPI | 1588303184 |
|---|---|
| Former Name | SOO OH KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-07-28 |