| NPI | 1033737978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH SINN IVERSEN Licensed Clinical Social Worker 812-320-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-09-02 |