| NPI | 1265734644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANNE MAIR Clinical Psychologist 313-821-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008126) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-12-06 |