| NPI | 1881996551 |
|---|---|
| Other Name | DONG WAN KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60172608) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60795326) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2018-06-16 |