NPI | 1972830230 |
---|---|
Former Name | SEJUNG SON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086294) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 002358) |
103K00000X Behavior Analyst (Licence: 1-21-54639) | |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC05738800) | |
1041C0700X Social Worker, Clinical | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-11-06 |
Last Update Date | 2023-04-20 |