NPI | 1760514129 |
---|---|
Former Name | AMY E. DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 31510) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 31510) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2023-06-12 |