| NPI | 1427222397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA L WEISS President 906-776-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007240) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |