NPI | 1861920571 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA BROWN Owner 248-798-0539 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 1154631588) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 1316499775) |
103T00000X Psychologist (Licence: MI 1063949667) | |
Enumeration Date | 2017-05-24 |
Last Update Date | 2018-05-01 |