| 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 |