NPI | 1043786882 |
---|---|
Entity Type | Organization |
Authorized Contact | AIMEE THOMAS Owner 330-305-2753 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2018-10-19 |
Last Update Date | 2019-03-08 |