| NPI | 1962001982 |
|---|---|
| Former Name | LAUREN ELIZABETH BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161966) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2024-07-12 |