| NPI | 1801086749 |
|---|---|
| Former Name | MARY ELLEN GEORGIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53643) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2012-10-31 |