The holder whose full name is Heineman, Carolyn Jayne,come from Valparaiso IN,hold the Psychologist - Health Service Provider license(NO.20042009A) which status is Expired.
| Name | Heineman, Carolyn Jayne |
|---|---|
| License Number | 20042009A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | Valparaiso |
| State | IN |