| NPI | 1730317801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN R MONSMA Owner / Psychologist 502-413-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: KY 0867) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2011-01-11 |