NPI | 1558835629 |
---|---|
Former Name | DENA DENISE GIBBONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927357) |
Enumeration Date | 2019-01-11 |
Last Update Date | 2024-01-16 |