| NPI | 1134312036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ROSENBAUM Co Owner 219-661-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-10-27 |