| NPI | 1932467867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI S. LUTGENS Member 502-762-6258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 7100225100) |
| 103K00000X Behavior Analyst (Licence: KY 7100225100) | |
| 103TC0700X Psychologist, Clinical (Licence: KY 7100225100) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: KY 7100225100) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 7100225100) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 7100225100) | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 225100000X Physical Therapist (Licence: KY 7100225100) | |
| 225X00000X Occupational Therapist (Licence: KY 7100225100) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KY 7100225100) | |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2024-04-16 |