| NPI | 1144325168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI FLICK-HARTY Office Manager 262-544-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1254-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1001-125) |
| 1041C0700X Social Worker, Clinical (Licence: WI 7175-123) | |
| 106H00000X Marriage & Family Therapist (Licence: WI 681-124) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-12-11 |