| NPI | 1972681922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIAM L GRAHAM New Owner And Head Psychologist 812-523-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20041655A) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-06-27 |