| NPI | 1427392513 |
|---|---|
| Former Name | JENNIFER ANN GIBLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4942) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-07-18 |