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 | 2024-08-02 |