| NPI | 1639560014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA DAY Counselor 859-242-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 0436) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0769) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |