| NPI | 1366243081 |
|---|---|
| Other Name | JENGIBSONWELLNESS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER GIBSON Sole Proprietor 917-653-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-05-07 |