| 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 |