NPI | 1851976591 |
---|---|
Other Name | MADISON K GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101YS0200X Counselor School (Licence: CO 359329) |
101YP2500X Counselor Professional (Licence: CO 0017809) | |
Enumeration Date | 2021-03-15 |
Last Update Date | 2024-03-08 |