| NPI | 1346409018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN MARIE FRANK Secretary/Treasurer 920-459-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WI L025526) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |