CAROL DIANE GREEN

PANORAMA CITY, CA
NPI1215177902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC17343)
Enumeration Date2009-02-20
Last Update Date2009-02-20
Business Address
MS. CAROL DIANE GREEN MFT
14621 TITUS ST #117
PANORAMA CITY, CA 91402-4905
Phone number: 818-781-6694
Mailing Address
MS. CAROL DIANE GREEN MFT
14621 TITUS ST #117
PANORAMA CITY, CA 91402-4905
Phone number: 818-781-6694