NPI | 1164011466 |
---|---|
Former Name | JILLIAN M YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505120) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2103077) |
Enumeration Date | 2021-01-12 |
Last Update Date | 2025-02-28 |