NPI | 1639571375 |
---|---|
Professional Name | KAYAN PHOEBE WAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06388) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2014031994) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2020-06-16 |