| NPI | 1467658658 |
|---|---|
| Professional Name | THERESA GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LCSW-12722) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LMSW-11867) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2011-09-15 |