| 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 |