| NPI | 1902947088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KELLY Psychologist/ Owner 231-933-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-12-18 |