NPI | 1356914667 |
---|---|
Other Name | HYUN JOON PARK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 024411) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024411) |
Enumeration Date | 2021-07-23 |
Last Update Date | 2023-12-16 |