| NPI | 1194071043 |
|---|---|
| Former Name | JENNIFER R GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 7781) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 7761) |
| 101YP2500X Counselor Professional (Licence: VA 0701010590) | |
| 101YP2500X Counselor Professional (Licence: GA LPC011749) | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2025-05-13 |