| NPI | 1831993450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J BELONGEA Limited License Psychologist 734-417-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-02 |