| NPI | 1689745861 |
|---|---|
| Former Name | CORINNA YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY20004) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY20004) |
| 103TH0100X Psychologist Health Service (Licence: CA PSY20004) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2016-04-28 |