| NPI | 1427794528 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL LAMERATO Owner 248-513-8074 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 103T00000X Psychologist | 
| Enumeration Date | 2022-05-11 | 
| Last Update Date | 2023-01-25 |