| NPI | 1689942138 |
|---|---|
| Former Name | JENNIFER YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2025-10-20 |