NPI | 1053466987 |
---|---|
Former Name | ETHEL M GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801009499) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6801009499) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2007-07-08 |