| NPI | 1477805463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA M HILEWSKY Clinical Psychologist 248-543-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011013) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301024395) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |