| NPI | 1861721243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MATTHEW GOLDBERG Owner Of Psychotherapy Practice 202-329-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12697) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |