NPI | 1154564540 |
---|---|
Entity Type | Organization |
Authorized Contact | SUNITA SRIVASTAVA BHATNAGAR Clinical Counselor/Practic Owner 502-403-1090 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY ky-0601) |
Enumeration Date | 2009-04-14 |
Last Update Date | 2009-04-14 |