| NPI | 1295715472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCI SHOOK-WOOLLEY Clinical Psychologist 262-257-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2451-057) |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2020-09-09 |