NPI | 1497272496 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE BRACISZEWSKI Sole Member 248-220-3332 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301016726) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2022-07-21 |