| NPI | 1962541227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANN M WOODKA Psychologist 574-522-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: IN 20090115) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-01-28 |