| NPI | 1609695907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA RENEE MAUPIN Marriage And Family Therapist 502-735-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2026-04-21 |