| NPI | 1083059968 |
|---|---|
| Former Name | CARLY ANNE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 7696) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2017-12-19 |