| NPI | 1629521026 |
|---|---|
| Former Name | MADISON RACHEL GOLDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011574) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCASA-22915) |
| 1041C0700X Social Worker, Clinical (Licence: NC P010462) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2020-04-08 |