| NPI | 1992974620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE BANEY Psychologist, President Ipps 260-469-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20040759A) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2011-11-03 |