| NPI | 1043451438 |
|---|---|
| Former Name | REBECCA ELIZABETH GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53774) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA IMF 57496) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2014-12-30 |