The holder whose full name is Simental, Liza Raquel,come from West Lafayette IN,hold the Psychologist - Health Service Provider license(NO.20041402A) which status is Active.
| Name | Simental, Liza Raquel |
|---|---|
| License Number | 20041402A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | West Lafayette |
| State | IN |