| NPI | 1336319516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN ANN LAURIE Owner 608-235-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1915125) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |