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 |