| NPI | 1659932481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE F JACKSON Proprietor/Psychotherapist 810-845-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |