| NPI | 1639304934 |
|---|---|
| Professional Name | MARIO BOLIVAR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 3071) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR 1214) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |