NPI | 1780911735 |
---|---|
Former Name | JENNIFER MAY GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2006005034) |
Enumeration Date | 2009-11-12 |
Last Update Date | 2019-03-21 |