| NPI | 1063652238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CHRISTINE PETERSEN Owner/Therapist 812-369-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34004770A) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2015-06-08 |