| NPI | 1982196523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JEAN GOTTSCHALK Ma, Llp 734-332-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301010464) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |