| NPI | 1457525529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J HYNDMAN Board President 260-244-7222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34003394) |
| Additional Taxonomies | 102X00000X Poetry Therapist (Licence: IN 39001832A) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |