| NPI | 1013110782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRELLA ELISA SACILOTTO-SHARKEY Vice President 414-223-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: WI 1760) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |