| NPI | 1902208135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ABBENANTE-HONOLD Owner 989-245-4756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015752) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-10-16 |