| NPI | 1629568225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J ELWELL Llp/Owner 248-302-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014559) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2024-03-21 |