NPI | 1124128210 |
---|---|
Former Name | GENA RENAI GREENWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014352) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61191484) |
101YM0800X Counselor, Mental Health (Licence: NY 008189) | |
101YP2500X Counselor, Professional (Licence: TX 16968) | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2023-10-04 |