| NPI | 1285412411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY HANSON Psychologist/Owner 920-428-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-11-15 |