| NPI | 1417249178 |
|---|---|
| Former Name | AUDREA REA YOUNGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2022-02-10 |