NPI | 1003867813 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTI C FREIBURGER Vice President 262-751-5672 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1950) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2023-01-30 |