| NPI | 1003037607 |
|---|---|
| Professional Name | RENEE GAMBOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 1891) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 11346) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |