| 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 |