| NPI | 1235128356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE ALEXA WESTON Clinic Owner 262-567-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1841) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |