| NPI | 1427451293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KUSNER Clinical Psychologist 586-242-8597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015763) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |