| NPI | 1104530112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA MCGRAW Owner/Therapist 734-890-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2024-08-15 |