| NPI | 1255909248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA GOLDBERG Owner & Practitioner 971-717-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |