| NPI | 1053421818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL GUEVARA HANSEN President 616-866-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301011335) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-06-21 |