| NPI | 1497083711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNE MARIE CAMERO-SULAK Licensed Clinical Psychologist 734-355-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301011464) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2011-11-01 |