| NPI | 1508936451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MICHELLE MILLER Owner 513-593-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 6231) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6231) |
| 103TC0700X Psychologist, Clinical (Licence: OH 6231) | |
| 103TC1900X Psychologist, Counseling (Licence: OH 6231) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |