| NPI | 1861206583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN FREDRICKSON Clinical Social Worker/Owner 210-846-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |