| NPI | 1780770107 |
|---|---|
| Former Name | ELIZABETH MARIE MERRITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH0005455) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00005455) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-01-05 |