| NPI | 1194864223 |
|---|---|
| Other Name | JUDITH M GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 628) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 214) |
| 101YP2500X Counselor Professional (Licence: NE 549) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-12-10 |