| NPI | 1275035966 |
|---|---|
| Former Name | RACHEL YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 12557) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TN 5968) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2024-07-15 |