| NPI | 1003958315 |
|---|---|
| Former Name | BOBETTE RAE GOETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121190) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2007003085) |
| 104100000X Social Worker (Licence: KS 6085) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-02-29 |