NPI | 1306107974 |
---|---|
Former Name | ANYA GOLDBERG |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017160) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CW017160) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2024-09-30 |