| NPI | 1558879890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TANG Owner 734-219-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015972) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2021-09-03 |