NPI | 1720211865 |
---|---|
Former Name | ELIZABETH MAY GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 117052) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-08-24 |
Last Update Date | 2014-01-02 |