| NPI | 1881944775 |
|---|---|
| Former Name | KATHRYN CLAIRE BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015006717) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2012026525) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2016-05-23 |