| NPI | 1760775480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE DENEFF BRUNSMAN Psychotherapist 765-683-9583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003970A) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |