| NPI | 1780017798 |
|---|---|
| Professional Name | DIANE MARIE GOLDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2015-10-08 |