| NPI | 1851955652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE EBONIQUE JONES Professional Counselor 248-973-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |