| NPI | 1790059111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY S HORTON-BIEREMA Owner 269-323-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2022-08-04 |