| NPI | 1548956337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE N FALLON Owner/Licensed Psychologist 502-777-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |