| NPI | 1316477631 |
|---|---|
| Former Name | BERKELEY ROSE HARBOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001553) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 26057) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-04-30 |