The holder whose full name is Vanderwielen, Adena R.,come from Lafayette IN,hold the Temporary Psychologist Permit license(NO.99036629A) which status is Superceded.
| Name | Vanderwielen, Adena R. |
|---|---|
| License Number | 99036629A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |