| NPI | 1003079369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN JOHNSON Owner 517-347-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006045) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |