| 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 |