| 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 |