| NPI | 1780139444 |
|---|---|
| Former Name | CAROL BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 020674084) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-07-21 |