NPI | 1336409804 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA KNOWLES Sole Proprietor 248-320-1196 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014248) |
Enumeration Date | 2012-05-18 |
Last Update Date | 2012-05-18 |