| NPI | 1780367565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE LEE Psychotherapist 419-595-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-14 |