| NPI | 1083984405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE TITUS Owner, Licensed Psychologist 517-599-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301014282) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2012-01-02 |