| NPI | 1003221789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ANDERSON Owner/Professional Counselor 920-268-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4691125) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2020-01-06 |