| NPI | 1700565074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ELIZABETH DE LONG Founder/Psychotherapist 248-629-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-11-01 |