NPI | 1184360513 |
---|---|
Doing Business As | MAPLE LEAF PSYCHOLOGY |
Entity Type | Organization |
Authorized Contact | CAITLIN CAPRICE ERDMAN Licesned Psychologist 231-431-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2022-05-09 |
Last Update Date | 2023-08-17 |