| NPI | 1366957003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE ANN LORENTZ Credentialing Manager 513-413-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-12-17 |