| NPI | 1619616679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELIZABETH DUVAL Owner 859-303-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-05-29 |
| Last Update Date | 2025-07-03 |