| NPI | 1669831939 |
|---|---|
| Former Name | THANA KONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-25 |