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 |