| 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 |