| NPI | 1235653643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE H GIES Psychotherapist/Owner 262-232-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7319-123) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2021-01-13 |