| NPI | 1649836495 |
|---|---|
| Doing Business As | NICHOLE LORENZ |
| Entity Type | Organization |
| Authorized Contact | NICHOLE ONDERSMA Lmsw 734-604-0654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-02-28 |