| NPI | 1518172865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA V HARDIN Licensed Psychologist, Owner 502-641-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY KY 1236) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |