| NPI | 1689012379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI EBSEN Owner/Psychotherapist 734-223-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085914) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2023-09-28 |