| NPI | 1053830455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A SOWDERS Licensed Psychologist 513-903-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6029) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 913142) |
| 101YM0800X Counselor, Mental Health (Licence: OH E2332) | |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2022-07-21 |