NPI | 1144376773 |
---|---|
Former Name | BARBARA L. BERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 18349) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 000115) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-07-08 |