| NPI | 1174802235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE GAST Clinical Psychologist 513-321-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6719) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |