| NPI | 1164430864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LOUISE SANO Psychologist 330-506-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301011855) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-07-07 |