| Doctor Name: | MS. MAKEDA ABRAHAM |
| NPI Number: | 1053757468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MFTI |
| License Number: | IMF 74558 |
| Business Practice Address: | 14622 Ventura Blvd #751 Sherman Oaks, CA - 914033600 |
| Business Phone Number: | 8189868192 |
| Business Fax Number: | |
| Mailing Address: | 14622 Ventura Blvd, #751 SHERMAN OAKS |
| State: | CA |
| Postal Code: | 914033600 |
| Phone Number: | 8189868192 |
| Fax Number: | |
| NPI Enumeration Date: | 05/13/2013 |
| NPI Last Update Date: | 04/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMF 74558 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |