| NPI | 1689685877 |
|---|---|
| Former Name | DIXIE RUTHANN PLACEK |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 341) |
| 106H00000X Marriage & Family Therapist (Licence: NE 045) | |
| 106H00000X Marriage & Family Therapist (Licence: NE 341) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-05-29 |