Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor |
NPI | 1184029910 |
---|---|
Provider Name | Valerie Lynn Mooney |
First Address | Sacramento, CA 95821-2622 |
Second Address | Sacramento, CA 95821-2622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2014 |
Last Update Date | 19/11/2021 |