| NPI | 1174029177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN EMILIE-CLARE SMITH Psychologist 248-535-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301013774) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |