| NPI | 1205998010 |
|---|---|
| Other Name | DIXIE LYNN HENDRICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60140442) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 60010572) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2012-10-18 |