| NPI | 1477908465 |
|---|---|
| Former Name | ANGELA MARIE VALLANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 10336-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WY PPC-1114) |
| 101YP2500X Counselor Professional (Licence: WY LPC-2028) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-09-06 |