| NPI | 1881350718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYOUA CATHARINE THAO Mental Health Clinician 734-709-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |