| NPI | 1437636297 |
|---|---|
| Former Name | MARIE GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 4237) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2024-05-23 |