NPI | 1114058864 |
---|---|
Professional Name | MARY YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO cs001586) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2005033041) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |