| NPI | 1790007136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA BIELENIN Owner 734-476-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301005020) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |