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 |