| NPI | 1760952261 |
|---|---|
| Former Name | CASEY NICOLE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NE 022) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |