| NPI | 1790719763 |
|---|---|
| Former Name | KRISTIN MICHELLE DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 778) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 16522) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-09 |