NPI | 1932578838 |
---|---|
Entity Type | Organization |
Authorized Contact | RONNA SMITH-CRAIG Member/Clinical Psychologist 248-321-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301010254) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016205) |
Enumeration Date | 2015-09-21 |
Last Update Date | 2015-09-21 |