| NPI | 1114410073 |
|---|---|
| Former Name | KARA BETH VERGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 173466) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2022-03-28 |