| NPI | 1023224185 |
|---|---|
| Former Name | GENEVIEVE RESTIVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 693034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 693034) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-10-11 |