| NPI | 1205284049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA INOUE Psychotherapist/Owner 734-904-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801081902) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |