| NPI | 1487225736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SUZANNE BICKETT Licensed Mental Health Counselor 317-525-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |