NPI | 1730656596 |
---|---|
Former Name | EUGENE E SUH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 84379) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-10-30 |
Last Update Date | 2019-01-31 |