| NPI | 1053726232 |
|---|---|
| Professional Name | TAMARA GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 5198) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9271) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-06-16 |