| NPI | 1770860090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELLE AUGUSTESEN Owner 269-343-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008602) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2025-12-02 |