NPI | 1891336822 |
---|---|
Former Name | ASTRID GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451017657) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017657) |
Enumeration Date | 2019-10-01 |
Last Update Date | 2021-07-21 |