| NPI | 1700936937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A FRISTAD President 614-537-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 3860) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-05-10 |