| NPI | 1609470137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA JANINE JAKOBSONS Owner/Co Founder 216-210-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0100X Psychologist, Health Service | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |