NPI | 1457692295 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY LITTLE Sole Member/Owner 765-860-7123 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005533A) |
Enumeration Date | 2013-03-04 |
Last Update Date | 2013-03-04 |