NPI | 1073610929 |
---|---|
Former Name | TAMARA S YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3929) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 5686) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2017-01-31 |