| NPI | 1144647892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA IRWIN Owner/Psychologist 586-323-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008401) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |