| NPI | 1629264346 |
|---|---|
| Professional Name | IDA FREEMAN GOODWINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 028031-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2007-09-16 |