| NPI | 1851722110 |
|---|---|
| Former Name | JESSICA LEIGH YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-38094) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2023-02-16 |