NPI | 1891205639 |
---|---|
Former Name | DIANA B GOLDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 22194) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 021707) |
225X00000X Occupational Therapist (Licence: NY 021707) | |
Enumeration Date | 2017-10-06 |
Last Update Date | 2022-05-02 |