| 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 |