| NPI | 1639718208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAQUITA RENETTE NIAMKE Licensed School Psychologist/Owner 216-273-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |