Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1215176821 |
---|---|
Provider Name | Francesca Harloise Bolognini |
First Address | Cambria, CA 93428-1639 |
Second Address | Cambria, CA 93428-2503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2009 |
Last Update Date | 05/02/2009 |