| NPI | 1609594415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL R VANCE Owner 440-668-1276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |