| NPI | 1154762490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA RICHARDS Psychotherapist/Owner 269-873-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801091741) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |