| NPI | 1700305687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE FULLER Owner 734-255-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801089969) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2023-06-23 |