| NPI | 1871362483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LAUREN CORNETT Licensed Psychologist 859-285-6534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2024-08-23 |