Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 6401003601 | MI |
N | 103TP0814X | Psychoanalysis | ||
Y | 1041C0700X | Clinical Social Worker | 6801034974 | MI |
NPI | 1003810912 |
---|---|
Provider Name | Mrs. Victoria Marie Schreiber |
First Address | West Bloomfield, MI 48322-3534 |
Second Address | West Bloomfield, MI 48322-3534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2005 |
Last Update Date | 17/10/2011 |