| NPI | 1326469750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNE KATHERINE POE Psychologist 262-492-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1302-057) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |