| NPI | 1104151950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY RENEA JULIAO Owner/Licensed Health Psychologist 734-368-7154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MI 6301012980) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2012-01-31 |