| NPI | 1659661130 |
|---|---|
| Former Name | JAIME YOUNGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 22827) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0601077) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2024-08-09 |