| NPI | 1124377403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE ELAINE OWENS Professional Counselor 248-249-5453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI L264721) |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2015-12-24 |