| NPI | 1982998019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA LYNN KERWIN Owner 214-991-7572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 32241) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-07-08 |