| NPI | 1861201980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA MARIE WALKER Therapist And Owner 731-803-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-05-15 |