| 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 |