| NPI | 1588828453 |
|---|---|
| Former Name | HYO JIN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013434) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301013434) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-05-23 |