| NPI | 1780129833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M MITCHAM Psychotherapist / Owner 616-706-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088032) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2021-08-13 |