| NPI | 1104278241 |
|---|---|
| Other Name | CHRISTINE GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 13401) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01052) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |