| NPI | 1417602491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHA KLEINSORGE Licensed Clinical Psychologist 734-834-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |