| NPI | 1770714891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ROES HAMMERLE Psychologist 517-260-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301002085) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2014-04-21 |