| NPI | 1467997361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GARERA IZQUIERDO Licensed Psychologist Director 859-869-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 130270) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2023-01-02 |