| NPI | 1841737491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRENA MARSHALL Professional Counselor 313-516-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |