NPI | 1659058055 |
---|---|
Former Name | KENYA BERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT149980) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-06-28 |
Last Update Date | 2025-06-09 |