| NPI | 1932573383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE D. MESZAROS Owner 734-751-2921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301009817) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |