NPI | 1700168929 |
---|---|
Former Name | BRITTANY BERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70412) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC4642) |
101YM0800X Counselor, Mental Health (Licence: TX 70412) | |
Enumeration Date | 2011-09-14 |
Last Update Date | 2022-11-15 |