| NPI | 1407050040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULAINE CAROL SIEWERT Licensed Psychologist 414-352-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1232) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |