| NPI | 1093927147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA R DIETZMAN Psychotherapist 414-704-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1905) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-01-23 |