| NPI | 1538429196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HARRISON President 317-600-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20041897A) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-17 |