| NPI | 1346086725 |
|---|---|
| Former Name | CHAVA GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204316) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 16551) |
| 106H00000X Marriage & Family Therapist (Licence: SC 8109) | |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-10-06 |