| NPI | 1699180406 |
|---|---|
| Former Name | VALERIE MAHONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2014038735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2638) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-04-27 |