NPI | 1205915477 |
---|---|
Entity Type | Organization |
Authorized Contact | JANELLE WARNER ASHBY President 260-336-3362 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041285A) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2009-03-16 |