NPI | 1689104929 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN R BOWMAN Psychologist 765-215-1736 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20042505A) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2017-06-19 |