| NPI | 1326310459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDI J RORK Psychologist 262-884-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1752-57) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-03-06 |