| NPI | 1366941270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE M. DEMET Psychotherapist 414-810-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 3960-123) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-04-24 |