NPI | 1366180531 |
---|---|
Former Name | CLAIRE GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LG200001598) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 28537) |
Enumeration Date | 2022-05-26 |
Last Update Date | 2022-05-26 |