| NPI | 1891091195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH K KUIPER Provider 616-581-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301012952) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |