| NPI | 1932245339 |
|---|---|
| Former Name | KAREN K COSTLOW-NOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13180) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004080) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-04-09 |