| NPI | 1467500678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE GERTRUDE TENBUSCH President 734-973-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301003134) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |