| NPI | 1831917343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEA VISALLI-BETTAG Owner, Psychologist 260-249-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-10 |