| NPI | 1396027926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELIZABETH LEWIS Member 513-984-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH 6356) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2023-03-15 |