NPI | 1295870996 |
---|---|
Professional Name | MARGO A. FALLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2612) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MO Psyc 01385) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2018-11-05 |