| NPI | 1629314992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN LOUISE FERNANDEZ Clinician/Therapist 972-816-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 31767) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |