| NPI | 1780998906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MY THI LIEN Sole Propriet/Licensed Psychologist 616-361-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013608) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |