| NPI | 1265655021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH YOUNG-VERKUILEN Owner 920-882-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 149) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-05-07 |