| NPI | 1538654660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE LORRAINE EDWARDS Owner 734-358-9273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401001863) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2018-07-01 |