| NPI | 1326515164 |
|---|---|
| Former Name | SUSAN J MERRITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114162) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94361) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2019-07-09 |