| NPI | 1982288767 |
|---|---|
| Doing Business As | SELF |
| Entity Type | Organization |
| Authorized Contact | REBECCA RUGH-WEBB Licensed Psychological Associate 614-571-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2021-05-08 |