| NPI | 1912230665 |
|---|---|
| Former Name | SEUNG CHUL LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2014-09-10 |