| NPI | 1831985407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR MARIE CRISLER Mental Health Counselor 859-308-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |