NPI | 1194097618 |
---|---|
Former Name | ALLISON MEREDITH BERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019829-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R049053-1) |
Enumeration Date | 2012-01-30 |
Last Update Date | 2012-10-12 |