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 |