| NPI | 1083012892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE T LEONARD President 734-368-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014067) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2015-01-14 |