| NPI | 1780862672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA K RUPSKA Owner 812-870-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041729A) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-04-20 |