| NPI | 1770950792 |
|---|---|
| Former Name | ELIZABETH GOLDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57178) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 000966) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-11-11 |