NPI | 1053765446 |
---|---|
Former Name | MARGARET ANN GODINE |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0883) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NV 52102) |
Enumeration Date | 2016-04-21 |
Last Update Date | 2024-04-11 |