| NPI | 1851161566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A BROOKS Owner 269-679-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-04 |