| NPI | 1477870079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANELLE STEVENS-WATKINS Licensed Psychologist 502-614-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 1587) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |