| NPI | 1902974231 |
|---|---|
| Doing Business As | KRISTIN MARIE PERIARD MSW, LMSW |
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARIE PERIARD Agent Psychotherapist 248-347-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801067292) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2009-10-13 |