NPI | 1679717755 |
---|---|
Former Name | HERMEISHA RENEE GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008500) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2023-04-28 |