| NPI | 1013055086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANN M WOODKA Psychologist 574-522-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20041649A) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |