| NPI | 1114086980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ELIZABETH WEINER Psychologist 608-274-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2058057) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |