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 |