| NPI | 1457386740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN I LEITMAN Owner 248-258-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301004071) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-04-18 |