NPI | 1760458947 |
---|---|
Other Name | MARY KATHRYN GOODSPEED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IA 00466) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IA 00994) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2007-12-19 |