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 |