| NPI | 1962138073 |
|---|---|
| Former Name | MADISON DENI GISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200002361) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV IC-1653) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-12-09 |