| NPI | 1063974848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE EHART Sole Member / Authorized Official 248-837-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103T00000X Psychologist | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-06-16 |