The holder whose full name is Minor, Lisa Rivka,come from Indianapolis IN,hold the Temporary Psychologist Permit license(NO.99060682A) which status is Superceded.
| Name | Minor, Lisa Rivka |
|---|---|
| License Number | 99060682A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |