| NPI | 1417137159 |
|---|---|
| Other Name | JENNIFER LYNN BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60189519) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00057658) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2023-09-26 |