NPI | 1871892810 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA M GUILFORD President/Owner 269-383-0248 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301006288) |
Enumeration Date | 2011-03-16 |
Last Update Date | 2011-03-16 |