| NPI | 1407652662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LEE Owner/Lcsw 765-914-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-03-31 |