| NPI | 1932420189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M BELL Psychologist 1517-381-1062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008842) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |