| NPI | 1750954350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN MALEK Licensed Professional Counselor 248-225-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |