| NPI | 1346485356 |
|---|---|
| Former Name | PAMELA DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002893) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002893) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |