| NPI | 1881180164 |
|---|---|
| Former Name | PATRICIA M BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 7018) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 6911) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2025-07-24 |