| NPI | 1669342697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE WOOLEY Director/Owner 260-229-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |