| NPI | 1114253150 |
|---|---|
| Former Name | ALICIA MAE GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 103629) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KY 165287) |
| 101YP2500X Counselor Professional (Licence: OH E-800517) | |
| 103G00000X Clinical Neuropsychologist (Licence: KY 172702) | |
| 174400000X Specialist (Licence: KY 171) | |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2020-03-17 |