| NPI | 1942026158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH AMELIA DIERKER Psychotherapist/Owner 817-330-9108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-04-14 |