| NPI | 1316458649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ALISON MELCHIOR Clinical Psychologist 734-589-3048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014731) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-11-07 |