| NPI | 1568918613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CONSTANTINO Psychologist 330-301-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4982) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |