| NPI | 1588160725 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NICOLE ADELE KRUEGER Owner/Therapist 219-242-9154  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 340069A)  | 
| Enumeration Date | 2018-04-05 | 
| Last Update Date | 2018-08-29 |