NPI | 1568958270 |
---|---|
Former Name | ERIC F GOEBEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH .1902074) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1800938-TRNE) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2021-10-19 |