| NPI | 1366845992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A. GALVIN Licensed Psychologist 734-323-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013912) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI SP000035) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |