| NPI | 1588837736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARY KANOUS Owner/Psychologist 269-544-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301011265) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2015-02-04 |