| NPI | 1275958555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE KWON Clinical Psychologist 248-733-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301012143) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2026-05-04 |