| NPI | 1477388809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGID R WALDRON-PERRINE Owner 248-238-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-26 |