| NPI | 1932444569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE D KRAUTH Ma Llp 734-973-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301009336) |
| Enumeration Date | 2012-12-08 |
| Last Update Date | 2012-12-08 |