| NPI | 1487182739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE KUBEC Owner/Therapist 734-904-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093935) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |