NPI | 1972264927 |
---|---|
Entity Type | Organization |
Authorized Contact | MONA LISA KELLY Licensed Professional Counselor 248-277-8984 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Enumeration Date | 2022-01-03 |
Last Update Date | 2022-01-03 |