NPI | 1871565911 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE JEANETTE GAGNON Owner, Director, Psychotherapist 734-776-2284 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401006623) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2013-04-10 |