| NPI | 1184494551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CLARE ANDERSON Owner/Therapist/Supervisor 920-479-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |