| NPI | 1881064756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN DALE BOICE Owner/Counselor 317-316-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001794A) |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2015-10-04 |