| NPI | 1295133031 |
|---|---|
| Former Name | DONNA LEE COSTABILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: AL 1-031253) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |