| NPI | 1255830485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A CULVER Psychologist 734-883-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |