NPI | 1356184626 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA KOPP Owner 248-296-6579 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2024-06-14 |
Last Update Date | 2024-07-09 |