| NPI | 1285017244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A KERBY Licensed Psychologist 269-569-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015083) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |