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 |