| NPI | 1811685738 |
|---|---|
| Other Name | THERAPY BY IVY, PLLC |
| Entity Type | Organization |
| Authorized Contact | IVY ICKES Lead Psychotherapist/Manager 832-844-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-05-01 |