NPI | 1992420525 |
---|---|
Other Name | SHAH'TAVIA YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028587) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.106617) |
Enumeration Date | 2022-10-06 |
Last Update Date | 2025-07-04 |