| NPI | 1033572540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MICHELLE JUDD Co Owner 606-393-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 0138351016) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |