| NPI | 1134818420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA TAYLOR Owner 248-897-0795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |