Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | A26170 | CA |
NPI | 1003002197 |
---|---|
Provider Name | Eunhwa Youn |
First Address | Los Angeles, CA 90057 |
Second Address | Los Angeles, CA 90057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2007 |
Last Update Date | 24/06/2009 |