| NPI | 1346255817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SPRAGUE CHAMPEAU Owner 262-635-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 552-124) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2013-07-24 |