| NPI | 1770836173 |
|---|---|
| Former Name | NICOLE GOLDSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089888) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087724) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2020-12-21 |