| NPI | 1003353079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HILDENBRAND License Psychologist 216-534-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6580) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |