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 |