| NPI | 1548099492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LORI LOPEZ Mental Health Therapist/Owner 812-204-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-03-17 |