| NPI | 1174311526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVANTE MONETTE Licensed Professional Counselor 262-977-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |