Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1144655622 |
---|---|
Provider Name | Dr. Yoo-Yun Cho-Chang |
First Address | Belmont, MA 02478-2836 |
Second Address | Boston, MA 02215-1506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2013 |
Last Update Date | 04/09/2013 |