| NPI | 1033766514 |
|---|---|
| Former Name | MARY KIEUN PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39669) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2025-05-29 |