| NPI | 1205805454 |
|---|---|
| Former Name | CORINNE YOUNG HARDESTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042291A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 20060006590) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-09-26 |