| NPI | 1285134858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITA SPENCER Owner 715-210-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 1231-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 130012-121) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-04-02 |