| NPI | 1386314318 |
|---|---|
| Other Name | CORY MATTHEW BERBERICH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016633) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-12-18 |