| NPI | 1992223291 |
|---|---|
| Former Name | HALEY MELISSA GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY31276) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY31276) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PSY31276) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2023-09-05 |