| NPI | 1205606548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDISON KONAN Massage Therapist 734-720-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| 103TC1900X Psychologist, Counseling | |
| 102X00000X Poetry Therapist | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 101200000X Drama Therapist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| 111N00000X Chiropractor | |
| 172A00000X Driver | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |