| NPI | 1952261398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE GONSOULIN Licensed Clinical Social Worker 409-789-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |