| NPI | 1164912879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE B KIZY Owner/ Therapist 586-859-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087898) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801087898) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |