| NPI | 1730430562 |
|---|---|
| Former Name | JAN KYOKO YOMOGIDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2491) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2019-03-18 |