| NPI | 1932264785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHLEEN PROSPERO Psychologist 330-492-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OH 4438) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2011-03-01 |