| NPI | 1740769900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEY LAYNE GORHAM Owner And Therapist 502-612-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |