| NPI | 1437531597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RAMOS BAUZO Therapist 317-551-3382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001826A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001827A) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2016-10-04 |