| NPI | 1871096248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL EVANS Sole Owner 248-722-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |