| NPI | 1023116480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORELLA LOUISE BOND Member/Owner 734-660-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012697) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-16 |