NPI | 1588093009 |
---|---|
Former Name | ELIZABETH DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2013-11-05 |
Last Update Date | 2023-12-15 |