| NPI | 1104269018 |
|---|---|
| Other Name | JESSE LAUREL VICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 2012-028) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6365) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2024-09-30 |