| NPI | 1093869505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. FRUIN Mental Health Therapist 608-365-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |