NPI | 1487140307 |
---|---|
Former Name | ASHLEY GOBEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2024003536) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YP2500X Counselor, Professional (Licence: OH C1901846) | |
Enumeration Date | 2018-07-03 |
Last Update Date | 2024-09-20 |