| NPI | 1568899490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PREWITT Office Manager 513-205-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6135) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2015-10-22 |