| NPI | 1285126243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIESHA PERRY Licensed Professional Counselor 262-612-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6798-125) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2022-04-26 |