NPI | 1164431136 |
---|---|
Professional Name | CORI COSTELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S12959) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180-005808) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2020-02-23 |