| NPI | 1134965098 |
|---|---|
| Other Name | TIM PAUL GODSHALL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R9619) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH24520) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-30 |