| NPI | 1780192054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TANG Partner 734-219-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |