| NPI | 1548400583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH KORICKE Owner 440-333-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 3304) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0001805) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |