| NPI | 1144960113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MCKINSTRY WALDRON Therapist/Owner 269-203-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2026-07-10 |