NPI | 1679317309 |
---|---|
Former Name | ANDREA K DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA Csw009720) |
Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW011916) |
Enumeration Date | 2024-06-19 |
Last Update Date | 2025-07-19 |