| NPI | 1770049223 |
|---|---|
| Former Name | GEORGIANNA DALE OLIVIERI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106565) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |