NPI | 1417325101 |
---|---|
Former Name | YANG-HYANG KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2846) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301016401) |
103T00000X Psychologist (Licence: OR 2846) | |
Enumeration Date | 2015-09-11 |
Last Update Date | 2021-03-18 |