| NPI | 1124480744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN VANDEN HEUVEL Owner/Therapist 920-209-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4647-125) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |