NPI | 1942715883 |
---|---|
Former Name | COURTNEY RENAE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08529) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH NA) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-12-13 |
Last Update Date | 2023-09-25 |