| NPI | 1902570591 |
|---|---|
| Doing Business As | ILLUMINATE MY LIFE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JENNA GENEREAUX Lmsw 231-570-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |