| NPI | 1346539285 |
|---|---|
| Former Name | ASA K BERGGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 9011A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2552) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2015-02-06 |