| NPI | 1265937320 |
|---|---|
| Former Name | COLLEEN HAYES-COSTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI ISW03197) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI CSW02121) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-09-28 |