| NPI | 1356592281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH E GREENING Owner 248-417-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301008082) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |