| NPI | 1689064461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RENEE BROTSKY Clinical Psychologist 248-686-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013021) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |