| NPI | 1982031308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M SHEELEY Lpc 734-508-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008253) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |