| NPI | 1194689968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA L JACKSON-SUGGS Marriage And Family Therapist 502-314-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-15 |