| NPI | 1104983923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MORSE Owner 231-775-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI JB003393) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI SO004078) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-02-13 |