| NPI | 1265741961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LITTLE President 248-722-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301011714) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |