| NPI | 1053535997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN DENEWETH Owner 248-937-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301011668) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |