| NPI | 1568860898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J TRABITZ Owner 313-359-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |