| NPI | 1609179365 |
|---|---|
| Former Name | JENNIFER YARNS YOUNGBLOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2215) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 565) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |