| NPI | 1063535532 |
|---|---|
| Former Name | TERESA GAIL CALANDRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5115) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 957) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2015-04-10 |