| NPI | 1710415260 |
|---|---|
| Former Name | CORRIE GOLDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12312) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2019-03-25 |