| NPI | 1134365497 |
|---|---|
| Other Name | THERESA GIBSON KEISLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 2607) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |