| NPI | 1730480211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH L WILLIAMS Clinical Psychologist 260-925-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042458A) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2021-09-01 |