| NPI | 1174303119 |
|---|---|
| Former Name | REBECCA ANN GONSIOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4052) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2025-08-06 |