| NPI | 1467459842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEALYNNE ANNE BAUS Owner/Clinical Child Psychologist 419-624-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 5908) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |