| NPI | 1235285487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA RASK President 734-426-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301006105) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2021-04-02 |