| NPI | 1700573540 |
|---|---|
| Former Name | AJA GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: KY 299788) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2025-06-18 |