| NPI | 1134334063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SHERTOK Psychotherapist 414-332-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2844-125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 2138-123) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |