| NPI | 1831375633 |
|---|---|
| Former Name | SUSAN ELLEN JARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002031) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51113) |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001044) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2023-11-14 |