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 |