| NPI | 1376745265 |
|---|---|
| Former Name | ANNE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2441C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2001022478) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2012-02-16 |