The holder whose full name is Heineman, Carolyn Jayne,come from Valparaiso IN,hold the Temporary Psychologist Permit license(NO.99009540A) which status is Superceded.
| Name | Heineman, Carolyn Jayne |
|---|---|
| License Number | 99009540A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |