NPI | 1144730383 |
---|---|
Former Name | KATHLEEN GIBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61084519) |
Enumeration Date | 2017-10-02 |
Last Update Date | 2025-02-18 |