| NPI | 1295959005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L HATCHER Owner 517-332-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI LE002799) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI CH007419) |
| 104100000X Social Worker (Licence: MI KL064381) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |