| NPI | 1760174908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE DANIELLE DESILVA Mental Health Therapist 517-214-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |