| NPI | 1518645050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTA CARABELLI Grief Counselor Owner 810-304-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-09-15 |