NPI | 1467539890 |
---|---|
Former Name | ALICIA ROSE OLIVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28557) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-04-22 |