| NPI | 1093752560 |
|---|---|
| Former Name | KAREN BETH MILLER GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS0045841L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS00923) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |