Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1023320256 |
---|---|
Provider Name | Adriana I. Kim |
First Address | Los Angeles, CA 90017-1705 |
Second Address | Los Angeles, CA 90017-1705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 02/07/2010 |