NPI | 1245480516 |
---|---|
Other Name | MILA GENEVIEVE GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 23541) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic |
Enumeration Date | 2008-09-23 |
Last Update Date | 2025-01-21 |