| NPI | 1285924035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A SORENSON Clinical Psychologist 734-417-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008589) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-14 |