| NPI | 1285757500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL E. TRAGER Pslychologist Sole Proprietor 989-832-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 009739) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |