| NPI | 1033659271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NICKLAUS Owner 715-732-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2992-226) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2024-06-20 |