| NPI | 1528065232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS ROSE KUEHNL-WALTERS President/Owner 937-886-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 1966) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |