| NPI | 1669900312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M. KILCOYNE Clinical Psychologist 513-289-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7430) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-07-21 |