| NPI | 1437505526 |
|---|---|
| Former Name | MELISSA GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020646) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.101627) |
| 1041C0700X Social Worker, Clinical (Licence: IL 150.101627) | |
| 101Y00000X Counselor (Licence: IL 150101627) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2022-02-24 |