| NPI | 1609421049 | 
|---|---|
| Other Name | CAMILLE C GIBSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M2000142)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1900147-TRNE)  | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162710)  | |
| Enumeration Date | 2019-08-02 | 
| Last Update Date | 2024-10-09 |