| NPI | 1508319971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA M WIENER Owner 440-479-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH c.1300702) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |