| NPI | 1366885543 |
|---|---|
| Former Name | VALORA LEE WADMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 4504) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 4504) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2024-04-03 |