The holder whose full name is Nan, Luana M.,come from West Lafayette IN,hold the Psychologist - Health Service Provider license(NO.20042465A) which status is Active.
| Name | Nan, Luana M. |
|---|---|
| License Number | 20042465A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | West Lafayette |
| State | IN |