NPI | 1417302845 |
---|---|
Former Name | ELIZABETH GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008413A) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2016-05-04 |
Last Update Date | 2023-07-12 |