| NPI | 1851872964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA VADUVA Owner 734-717-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401012505) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401012505) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |