| NPI | 1588116289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. STUTZMAN Owner 855-543-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010594) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2017-05-04 |