| 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 |