| NPI | 1851552749 |
|---|---|
| Former Name | PATRICIA ANN GUBBLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2342) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 504) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-08-21 |