| NPI | 1548411754 |
|---|---|
| Former Name | STEPHANIE DENISE KOSTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1000202) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0800340) |
| 104100000X Social Worker (Licence: OH S0800340) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2022-05-06 |