| NPI | 1205774775 |
|---|---|
| Doing Business As | WYLDER MINDS PERFORMANCE THERAPY |
| Entity Type | Organization |
| Authorized Contact | TATJANA RIBEIRO Owner/Therapist 734-291-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-07-29 |