| NPI | 1558600973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE HULST Psychologist 616-901-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013813) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013253) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2014-01-14 |