| NPI | 1528377264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA FRANCES MARROCCA Owner/Psychologist 248-519-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301006708) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2020-12-21 |