| NPI | 1205904406 |
|---|---|
| Former Name | RENEE BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 104311) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904004872) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2022-02-17 |