| NPI | 1073611166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI BRAULT Business Manager 513-919-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH 5748) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-02-07 |