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 |