| NPI | 1053024737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY MONTGOMERY Master Level Counselor 734-318-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-01-18 |