| NPI | 1730273335 |
|---|---|
| Former Name | TERESA FLANAGAN STALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0934) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS W4171) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2017-01-19 |