| NPI | 1972338739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA LAUREN WINN-MARVIN Behavioral Health Therapist 859-327-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |