| NPI | 1356267314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORY SKYE ELLIOTT Psychologist 414-375-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-06-25 |
| Last Update Date | 2026-06-25 |