NPI | 1093194540 |
---|---|
Former Name | YOU NA PARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01079207A) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01079207A) |
Enumeration Date | 2015-05-28 |
Last Update Date | 2022-09-13 |