NPI | 1134426109 |
---|---|
Professional Name | SUSIE GIBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005255) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000121) |
Enumeration Date | 2011-02-27 |
Last Update Date | 2011-02-27 |