| NPI | 1215459011 |
|---|---|
| Former Name | KATIE YOUNGBAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 905-7-1-17-350) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ND 905-7-1-17A) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2023-01-07 |