| NPI | 1669982328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HAGUE Licensed Psychologist 859-429-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2020-11-30 |