NPI | 1124800750 |
---|---|
Former Name | HAILY SARAH GONSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 015126) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 26373) |
Enumeration Date | 2023-10-18 |
Last Update Date | 2025-07-09 |