NPI | 1215389226 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN BEESLEY Owner/Clinical Psychologist 248-755-3630 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014698) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2016-07-01 |