| NPI | 1912250309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN KERLEY Sole Proprietor 817-944-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65775) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |