| NPI | 1538769245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATANGELA GIBBS Owner/Psychotherapist 586-214-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2021-05-18 |