| NPI | 1336412360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARIE KEELER Psychologist/Owner 262-652-2365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2277-057) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006391) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |