| NPI | 1235689951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MICHELLE CARRINGTON Licensed Professional Counselor 414-559-0845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3202-226) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |