| NPI | 1831819143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE BENNETT Psychologist, Prof. Counselor 616-259-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |