| NPI | 1073031407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LUTHERAN RANGEL Insurance COO Rdinator 262-345-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-02-04 |