| NPI | 1902549611 |
|---|---|
| Professional Name | SUSIE KIM-VANDERGRIEND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851107389) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-02-08 |