| NPI | 1952597767 |
|---|---|
| Doing Business As | PROFESSIONAL THERAPY CONSULTATION |
| Entity Type | Organization |
| Authorized Contact | JAYNE FABRY Owner 269-552-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301008864) |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2008-08-12 |