| NPI | 1821607862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARAYAH TORNQUIST Owner 317-214-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2024-06-18 |