NPI | 1326299223 |
---|---|
Former Name | ALEXANDER M. GREEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |