NPI | 1952817876 |
---|---|
Other Name | SONG I CHOE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP10975) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-12-15 |
Last Update Date | 2024-03-20 |