| NPI | 1285579920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ELAINE JOHNSON Clinical Psychologist/Owner 317-748-4520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |