| NPI | 1295271351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET PERRY Clinical Psychologist 313-706-8078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27473) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009382) |
| 103TC0700X Psychologist, Clinical (Licence: MD 05381) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |