| NPI | 1912489964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RENEE KUZNAR Owner/Practitioner 248-259-2382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015602) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI PF0000000882476) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-13 |