| NPI | 1487915682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA L MONTEZ Owner / President 859-494-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66562) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2015-11-28 |