NPI | 1487169595 |
---|---|
Former Name | FELISHA TRANNA GIBSON(MARRIED) GROSS (MAIDEN) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S1002121) |
Enumeration Date | 2017-12-12 |
Last Update Date | 2022-12-16 |