NPI | 1629163092 |
---|---|
Former Name | JANETTA ELISHA BERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85691) |
101YP2500X Counselor, Professional (Licence: CA 15805) | |
101YP2500X Counselor, Professional (Licence: NV CP5791-R) | |
101YP2500X Counselor, Professional (Licence: WA 61343410) | |
101YP2500X Counselor, Professional (Licence: OK 6303) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2025-05-07 |