NPI | 1730739863 |
---|---|
Former Name | EMILY KOON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019853) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0019853) |
Enumeration Date | 2019-09-20 |
Last Update Date | 2024-08-21 |