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 |