NPI | 1871651331 |
---|---|
Other Name | LISA JOY GOLDENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 172579) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036-104140) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 172579) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-104140) | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2007-07-08 |