| NPI | 1972591998 |
|---|---|
| Professional Name | KEITH YALE BURGER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH OH I0000401) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH OH E0000169) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2012-08-14 |