| NPI | 1497932081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J LAFAVE Phd 517-782-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2022-07-21 |