| NPI | 1770823783 |
|---|---|
| Former Name | JUNGRIM MOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 011671) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 18342) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2025-04-26 |