| NPI | 1124511233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARY KAISHER Therapist 812-565-9318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005904A) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-12-28 |