| NPI | 1932836210 |
|---|---|
| Former Name | AMANDA FRANCES GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020142) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0017802) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-12-21 |