| NPI | 1942593744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMIKA YOIONDE HALL Licensed Psychologist 269-588-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014087) |
| Additional Taxonomies | 251S00000X (Licence: MI 6301014087) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2015-03-16 |