| NPI | 1760870646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELLA P. YATES Cinical Psychologist 859-523-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 1122) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1483) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |