| NPI | 1063445294 |
|---|---|
| Doing Business As | MICHI ROSE PHD |
| Entity Type | Organization |
| Authorized Contact | MICHI ISHIDA ROSE President 269-353-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801071154) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |