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 |