| NPI | 1598038234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE L BROOKS Clinical Psychologist 734-446-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014556) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2016-09-19 |