| NPI | 1508698531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY MARGARET-SANDER OBERLEITNER Owner/Director 248-266-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |