| NPI | 1144743022 |
|---|---|
| Professional Name | KATHLEEN RUTH CHAVOOR-BERGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99895) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA psy20546) |
| 103TC0700X Psychologist, Clinical (Licence: CA pscy20546) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |