Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor |
NPI | 1003335076 |
---|---|
Provider Name | Ms. Anna Katarina Berin |
First Address | River Forest, IL 60305-1361 |
Second Address | Berwyn, IL 60402-5742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2017 |
Last Update Date | 11/09/2017 |