NPI | 1285003699 |
---|---|
Former Name | ASHLEY MARIE GONSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019637) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801097317) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2023-12-04 |