| NPI | 1629229323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE MIRACLE Psychologist/President 812-339-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040642A) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |