| NPI | 1912131467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE HALL-POLUS Licensed Psychologist 859-255-4864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 960) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |