| NPI | 1871738484 |
|---|---|
| Former Name | JOANNA R BERRYMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64851) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201318) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2013-05-01 |