NPI | 1174964662 |
---|---|
Entity Type | Organization |
Authorized Contact | LORENA KVALHEIM Clinical Psychologist 937-750-0294 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6215) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-07-11 |