| NPI | 1578919064 |
|---|---|
| Former Name | SARAH DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 7146) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ID LPC - 6055) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2019-05-14 |