| NPI | 1104242429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL ANNE SILLS Psychologist/ Owner 248-788-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301006969) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |