| NPI | 1932720885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE CRISS Licensed Professional Counselor 606-331-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |