| NPI | 1639966757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA MARIE VANDER HAAR Licensed Professional Counselor 419-957-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |