| NPI | 1861148769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA LOTHAMER Licensed Professional Counselor 734-447-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2026-05-01 |