| NPI | 1699136788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARIE MARTIN Owner/Psychologist 317-721-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20042486A) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |