| NPI | 1083493761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY KILROY Owner/Therapist 219-230-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-11-16 |