| NPI | 1194779868 |
|---|---|
| Former Name | DANA GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2002030044) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2002030044) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2002030044) | |
| 1041S0200X Social Worker, School (Licence: MO 2002030044) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-11-16 |