| NPI | 1821818410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LEE WINTER Licensed Clinical Psychologist 616-935-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |