NPI | 1841586997 |
---|---|
Entity Type | Organization |
Authorized Contact | GRETA LYNN KERWIN Owner 214-991-7572 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64784) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2011-06-27 |
Last Update Date | 2011-06-27 |