| NPI | 1699149864 |
|---|---|
| Former Name | LEIGH BERGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1803273) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 175T00000X Peer Specialist (Licence: MO 152112790042) | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2019-08-06 |