| NPI | 1821582859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYO BAE Clinical Psychologist 614-370-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |