| NPI | 1104220110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FOSTER Owner 317-268-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001704A) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2015-03-25 |