| NPI | 1245767938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRIELLE DAWN CONWAY Owner, Licesned Psychologist 270-215-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 130473) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 106483) |
| 1041C0700X Social Worker, Clinical (Licence: KY KY1771) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |