| NPI | 1487168043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE KAE EDWARDS Co Owner 513-240-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling (Licence: OH 6752) | |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2021-08-26 |