NPI | 1396960878 |
---|---|
Other Name | SHELLEY A. GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5877) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2024-03-15 |