| 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 |