NPI | 1700406741 |
---|---|
Former Name | CHERYL GONSKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020066) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-04-20 |
Last Update Date | 2024-03-04 |