| NPI | 1366035479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET NASH Practice Owner,Licensed Professiona 616-202-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2024-08-05 |