| NPI | 1821516311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MANRIQUE Licensed Professional Counselor/Own 231-709-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013605) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-01-11 |