| NPI | 1275704132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASIRUDDIN A SIDDIQUI Owner 502-394-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 24221) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2015-06-30 |