NPI | 1295213783 |
---|---|
Doing Business As | VIVIAN RODRIGUEZ |
Entity Type | Organization |
Authorized Contact | VIVIAN RODRIGUEZ Psychotherapist,. Counselor 517-944-5154 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6401012483) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2018-08-06 |