| NPI | 1386982494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHRYN S GALLEGOS Office Manager 517-483-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301006347) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |