| NPI | 1679728117 |
|---|---|
| Former Name | JESSICA SUSAN GOLDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD M77799) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA not yet received) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2013-09-26 |