NPI | 1609245505 |
---|---|
Former Name | WHITNEY GIBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5628) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 197789318) | |
Enumeration Date | 2015-09-21 |
Last Update Date | 2025-02-03 |