| NPI | 1093860942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M. SHIELDS Psychologist 734-622-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301011088) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |