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 | 2024-10-07 |