| NPI | 1124354212 |
|---|---|
| Professional Name | PATRICIA JEWELL COSTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: N/A) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2011-06-24 |