| NPI | 1548525215 |
|---|---|
| Former Name | ALYSIA MARIE GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69387) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2021-05-10 |