| NPI | 1497109813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA LEIGH MARRY Owner 734-531-9947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091863) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-02-22 |