| NPI | 1063371920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE JOY WARDLAW-PFAFF Licensed Professional Counselor 248-850-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-01-16 |