| NPI | 1487712642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J. SOWLE Licensed Psychologist 231-946-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007636) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-12-11 |