| NPI | 1497297543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY T BHANDARI Psychotherapist 616-485-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017153) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |