NPI | 1396288312 |
---|---|
Former Name | EMILY CATHERINE GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 8150) |
Additional Taxonomies | 101Y00000X Counselor |
101Y00000X Counselor (Licence: SC 8150) | |
106H00000X Marriage & Family Therapist (Licence: SC 8113) | |
Enumeration Date | 2016-11-22 |
Last Update Date | 2024-08-27 |