| NPI | 1366994410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA LECLAIR Owner 810-373-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301015165) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2020-09-25 |