| NPI | 1538947890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M MINOGUE Owner 502-381-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-10-09 |