| NPI | 1134355308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON C BLOEMER Psychologist 262-240-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WI 057-2140) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2015-09-09 |