| NPI | 1285496158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN GLICKMAN Owner 248-943-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |