| NPI | 1588729974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA H SHAPIRO Owner 517-676-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013030) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |