NPI | 1205533882 |
---|---|
Former Name | HELENA DANIELLE GREEN MONTAQUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT-0010144) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 1732) |
Enumeration Date | 2023-02-14 |
Last Update Date | 2024-06-06 |