| NPI | 1295152544 |
|---|---|
| Former Name | IVETTE BIBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-20760) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LISAC-155264) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 0128951) | |
| 1041C0700X Social Worker Clinical (Licence: NM I-07181) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-08-23 |