| NPI | 1326590928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN EMANUEL Licensed Psychologist 269-428-4789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015211) |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2016-10-30 |