| NPI | 1831512524 |
|---|---|
| Former Name | SUSAN DENISE MEYER, BROTHERTON, FOSHEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT 369) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1674-12) |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC 309) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2019-03-12 |