| NPI | 1710209010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN BRODIE President 313-871-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301006340) |
| Enumeration Date | 2010-02-27 |
| Last Update Date | 2021-06-12 |