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 |