| NPI | 1255531661 |
|---|---|
| Former Name | JENNIFER LYNN YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP6075512) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60074385) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2016-11-03 |