NPI | 1427248921 |
---|---|
Former Name | MARY ELIZABETH COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC50258) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-07-31 |
Last Update Date | 2013-02-19 |