| NPI | 1013371699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE BETH DESHIELDS President 502-681-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 216350) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |