| NPI | 1548359433 |
|---|---|
| Former Name | JENNIFER L GAMBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A 1661) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR CADC I 060108) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-05-03 |