| NPI | 1073328167 |
|---|---|
| Other Name | BAYLEE MARLENE GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |