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 |