| NPI | 1912891326 |
|---|---|
| Other Name | JAY PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: CA 17416) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |