| NPI | 1306625454 |
|---|---|
| Former Name | SI YEON PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |