| NPI | 1003376112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRISSA NICOLE MICHAEL Owner/Therapist 248-521-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2019-06-11 |