| NPI | 1366752388 |
|---|---|
| Former Name | VALEN ALEXIS COSTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001503) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007956) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00833900) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2023-04-02 |