The holder whose full name is Burbage, Amy Charissa,come from Indianapolis IN,hold the Temporary Psychologist Permit license(NO.99007612A) which status is Superceded.
| Name | Burbage, Amy Charissa |
|---|---|
| License Number | 99007612A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |