| NPI | 1598528721 |
|---|---|
| Former Name | JI SOOK CHANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 5055) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI 2342) |
| 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5055) | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-11-19 |