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 |