| NPI | 1114359882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA ALEASE NABORS Owner 734-635-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2023-06-16 |