| NPI | 1043338239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTE GLICKFIELD Authorized Delegate/ Psychologist 248-535-8547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301005241) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-11-05 |