| 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 |