| NPI | 1124532783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA DAMM Psychotherapist 262-292-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4182-125) |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2017-11-18 |