NPI | 1023503661 |
---|---|
Former Name | CHARISE MARIE GIBERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OR A14518) |
Additional Taxonomies | 372600000X Adult Companion |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-26 |
Last Update Date | 2023-11-21 |