| NPI | 1750857462 |
|---|---|
| Former Name | SOO YOUNG KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60848507) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2020-01-15 |