| 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 |