NPI | 1285765776 |
---|---|
Former Name | VALORIE JO MACKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT22717) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 300001) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2022-08-16 |