| NPI | 1891052403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE JOHNSTON GERWELL Owner/ Clinical Director 210-829-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 228590) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |