| NPI | 1841559986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE KING Licensed Clinical Psychologist 859-559-7624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2020-08-10 |