| NPI | 1225227622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARY SHERIDAN President 989-773-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301005634) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |