NPI | 1124463625 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MARIE TIELKER-SHARPE Therapist/Counselor 260-422-9372 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2013-05-09 |
Last Update Date | 2013-05-23 |