| NPI | 1811150600 |
|---|---|
| Other Name | ETHAN YANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27650) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-10-14 |