| NPI | 1447614383 |
|---|---|
| Former Name | LAUREN BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0004005) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |