| NPI | 1932622958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KEVIN BURDENSKI Owner 817-390-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 33118) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |