| NPI | 1215450879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006424) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-02-02 |