| NPI | 1265881510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PEDTKE President, Owner, Psychotherapist 812-401-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-10-17 |