NPI | 1760760284 |
---|---|
Entity Type | Organization |
Authorized Contact | MALINDA ISAACS Licensed Psychologist 859-428-8008 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KY 1569) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2016-05-09 |