| NPI | 1710725940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SHANNON Psychotherapist And Neurofeedback T 859-539-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2024-07-26 |