| NPI | 1669719803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE JOHANN Owner/Therapist 317-902-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006255A) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2014-01-08 |