| NPI | 1508029596 |
|---|---|
| Former Name | MALORIE MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88535) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2018-04-10 |