| NPI | 1568124063 |
|---|---|
| Former Name | GABRIELLE JOYCE MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 178536) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-12-07 |