| NPI | 1497452692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KINDT Psychologist, Limited Licensed 269-587-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |