| NPI | 1215561162 |
|---|---|
| Former Name | ITHACA A. GILBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04612) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C3455A) |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2023-10-16 |