| NPI | 1790183861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON SHAPIRO CARDEW Child Therapist 248-802-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301009800) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |