| NPI | 1619573219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LANE Owner/Therapist 513-909-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |