| NPI | 1851582373 |
|---|---|
| Former Name | YOUNGJA BANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA L.M.F.T. 79850) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2014-07-28 |