| NPI | 1447653878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA CZUBAK Owner 517-927-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: MI 6301014888) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2022-11-16 |