NPI | 1285069179 |
---|---|
Former Name | HALEY REBECCA DILLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003860) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2013-09-10 |
Last Update Date | 2022-07-12 |