NPI | 1033682299 |
---|---|
Former Name | ANNE MARIE TADDEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.010252) |
101YM0800X Counselor, Mental Health (Licence: TN 5594) | |
Enumeration Date | 2019-01-09 |
Last Update Date | 2024-09-01 |