| NPI | 1174809511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH G BRUNING Psychologist 231-935-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301008608) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |