| NPI | 1912356783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE MILLER Psychologist/Owner 260-434-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20042044A) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2016-06-12 |