NPI | 1336815810 |
---|---|
Former Name | HALEY BERGHEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: KY 287560) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2021-08-17 |
Last Update Date | 2024-11-06 |