| NPI | 1851544571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNN SUBLETT Psychologist 502-744-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KY KY-1192) |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2008-10-25 |