NPI | 1669906988 |
---|---|
Entity Type | Organization |
Authorized Contact | LASONIA A BARLOW Lpc/Llp/Owner 248-438-8254 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011509) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301015842) |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2017-04-13 |
Last Update Date | 2023-11-08 |