| NPI | 1043513450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA ANN GORDON President/Owner 734-994-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301001833) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |