| NPI | 1497254924 |
|---|---|
| Former Name | AMY TADDEO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 701010395) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2814) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2025-03-06 |