| NPI | 1689319444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BLOOM Psychotherapist/ Business Owner 517-420-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-10 |