| NPI | 1780711051 |
|---|---|
| Former Name | TANGIE AMBER YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 293438) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-12-26 |