NPI | 1285015412 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD ALAN LARNER Owner / Therapist 989-280-3685 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006360) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2015-06-12 |