| NPI | 1699478990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH RAQUE Owner, Professional Counselor 502-554-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2024-01-04 |